6.24 Fa/+12,74 (no insulin)/+14, 130/+17,232/+20,266/+23.5,196/pm+5,88/+5.5,65

I forgot to update about checking to test Acro. @Wendy&Neko

I contacted the doctor in Queensland and she suggested me to look for another vet to try to test acro.

I found another vet hospital but it seems they will need me to start all over again for the blood test etc.

I talked again to our vet and gave her the name of the testing. She checked and came back to say we can include it next time when I bring our cat in for a full panel blood test. Last one done was a year ago, so since we wanted to test for Acro, we both think we can do everything together.

However, the state I am in probably cannot do much about Acro even if Fa tests positive for it. What should we do after that then?
 
If you get a positive from the test for acromegaly, it will give you knowledge, you will know what to look for in terms of side effects. And there is still one option for treatment, called cabergoline. The pituitary tumour causes excess growth hormone to be output, which can in turn cause bony and soft tissue growth, also some growth in organs. The heart being the most concerning of them. Heart issues can come on without warning. Knowing it is a possibility means you keep it in mind should you ever need to give fluids, which can be harmful if certain heart conditions are present.

An example where knowledge helped was when I noticed Neko was getting a red mark on her gum line. Her regular vet thought that tooth needed pulling. I went to a dental specialist who knew a bit about acromegaly, and he discovered had some excess gum growth on her lower gum line by the red gum. Her canine tooth above was rubbing it. He filed down her tooth a bit so it no longer rubbed. Neko did not lose a tooth that day.

Take a look in the acro/IAA forum. There are some posts on cabergoline, which is a daily medication that can reduce the amount of growth hormone output. It is fairly new, it came too late for me, but there are a few cats here taking it.

Yes on 9 units tonight.
 
If you get a positive from the test for acromegaly, it will give you knowledge, you will know what to look for in terms of side effects.

And there is still one option for treatment, called cabergoline. The pituitary tumour causes excess growth hormone to be output, which can in turn cause bony and soft tissue growth, also some growth in organs. The heart being the most concerning of them. Heart issues can come on without warning. Knowing it is a possibility means you keep it in mind should you ever need to give fluids, which can be harmful if certain heart conditions are present.

This makes sense. We do need to know more so we know how to ask questions too.

An example where knowledge helped was when I noticed Neko was getting a red mark on her gum line. Her regular vet thought that tooth needed pulling. I went to a dental specialist who knew a bit about acromegaly, and he discovered had some excess gum growth on her lower gum line by the red gum. Her canine tooth above was rubbing it. He filed down her tooth a bit so it no longer rubbed. Neko did not lose a tooth that day.

Wow lucky the dental specialist knows about this.
Even though our vet is good, I might need to consider seeing a specialist who knows about kitties more. Hard decision, since our vet is very patient with my cat and my cat does not like vet visits or guest visits.

Take a look in the acro/IAA forum. There are some posts on cabergoline, which is a daily medication that can reduce the amount of growth hormone output. It is fairly new, it came too late for me, but there are a few cats here taking it.

I will go and read that part of the forum to equip myself. Thanks Wendy.

Yes on 9 units tonight.

Will do. Thanks again Wendy.
 
Hi, I see you got a 126 AMPS and reduced to 8.5 U. I think that was a good decision. We don’t usually recommend back to back reductions but you had skipped the dose yesterday morning after a reduction and he still dropped down to 65 during the following cycle.
He’s telling you he needs less insulin!
 
Agreed, glad you reduced.

Do you mind putting “skip” or “NS” for no shot in the dose column for yesterday morning, so we know you deliberately skipped the shot instead of just forgetting to enter the dose.
 
Hi, I see you got a 126 AMPS and reduced to 8.5 U. I think that was a good decision. We don’t usually recommend back to back reductions but you had skipped the dose yesterday morning after a reduction and he still dropped down to 65 during the following cycle.
He’s telling you he needs less insulin![/QUOT]
I was not sure if I could reduce so soon again but I thought nadir was under 90 last night so I reduced it.

Good to know it’s ok .
 
Agreed, glad you reduced.

Do you mind putting “skip” or “NS” for no shot in the dose column for yesterday morning, so we know you deliberately skipped the shot instead of just forgetting to enter the dose.

Thanks. Already put ‘skip’ in SS.
 
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